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1402 Lake Tapps Parkway East Suite F 106 Auburn WA 98092-8157 | |
(253) 288-8882 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1402 Lake Tapps Parkway East, Auburn, Washington |
Authorized Official Name and Position | Wayne M Duran (OWNER) |
Authorized Official Contact | 2532888882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1402 Lake Tapps Parkway East Suite F 106 Auburn WA 98092-8157 Ph: (253) 288-8882 | 1402 Lake Tapps Parkway East Suite F 106 Auburn WA 98092-8157 Ph: (253) 288-8882 |
NPI Number | 1194052506 |
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Provider Enumeration Date | 11/05/2009 |
Last Update Date | 11/05/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194052506 | NPI | - | NPPES |
7123334 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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